Organization
J MICHAEL DIERKES FAMILY ORTHODONTICS LLC
Active
Other names
Dr John M Dierkes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL DIERKES DDS MS FICCMO NMD (PRES)
(678) 352-0919
Entity
Organization
Contact information
Practice address
910 MARIETTA HWY, SUITE, ROSWELL, GA 30075-6771
(678) 352-0919
(678) 352-8330
Mailing address
910 MARIETTA HWY, SUITE, ROSWELL, GA 30075-6771
(678) 352-0919
(678) 352-8330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9675
GA
Other
Enumeration date
06/10/2008
Last updated
12/05/2016
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